Child and Adolescent OCD

OCD in Children and Adolescents


Obsessive-Compulsive Disorder is not just an adult condition — it affects children and teenagers too, often with profound consequences on their daily lives, school performance, and family relationships. OCD typically begins in childhood or adolescence, with many adults tracing their symptoms back to their earliest years.


Recognizing OCD in Young People


Children with OCD often struggle to understand or explain their fears. They may appear distracted, oppositional, or anxious — and their compulsive behaviors are frequently mistaken for stubbornness or quirks. Early identification and specialized treatment are essential to prevent OCD from becoming deeply entrenched.

Intrusive Fears

Children may be consumed by fears of contamination, harm coming to loved ones, or making terrible mistakes — fears they feel powerless to control.

Rituals and Avoidance

Young people with OCD often develop elaborate rituals — checking, counting, repeating, or seeking constant reassurance from parents and teachers.

Impact on Daily Life

OCD can severely disrupt a child's schooling, friendships, and family life — making everyday tasks feel overwhelming and exhausting.

~ Common Signs of OCD in Children

OCD in young people can take many forms. Common presentations include:

  • Excessive fear of germs, illness, or contamination
  • Repeated hand-washing, showering, or cleaning rituals
  • Fear of harm coming to themselves or family members
  • Needing things to be "just right" or perfectly symmetrical
  • Repeating actions until they feel correct
  • Reassurance-seeking from parents, teachers, or friends
  • Avoidance of certain objects, places, or situations
  • Difficulty completing homework or leaving the house due to rituals
  • Scrupulosity — excessive moral or religious fears

~ How OCD Affects Families

OCD in children profoundly impacts the entire family. Parents often become drawn into their child's rituals — providing reassurance, accommodating avoidance, or modifying routines to reduce distress. While well-intentioned, family accommodation actually reinforces OCD and keeps the child stuck. Effective treatment addresses both the child and the family system.

~ Effective Treatment for Young People


The gold standard treatment for childhood and adolescent OCD is Exposure and Response Prevention (ERP) therapy, delivered by a specialist trained in OCD. ERP teaches young people to gradually face their fears without performing compulsions — rewiring the brain's threat response over time.


At The Center for OCD, Dr. Henry Srednicki specializes in treating children and adolescents with OCD. With compassion, patience, and evidence-based methods, Dr. Srednicki helps young patients and their families break free from OCD's grip — restoring confidence, independence, and joy in everyday life.



Dr. Srednicki Offers Specialized Virtual OCD Treatment via Secure Telehealth and is Authorized to Treat Patients in the Following 42 States



  • Alabama
  • Arizona
  • Arkansas
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia (Washington D.C.)
  • Florida
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Kentucky
  • Maine
  • Maryland
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

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Dr. Henry Srednicki
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